口腔门诊青少年正畸患者心理状况相关因素分析及干预对策  

Analysis of factors related to psychological status for adolescent orthodontic patients in stomatology department and intervention strategies

作　　者：李从玉[1] 赵蔚萍[1] 龙晓奇 

机构地区：[1]四川省遂宁市中心医院口腔科,629000

出　　处：《中国实用护理杂志》2017年第7期528-531,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨影响口腔门诊青少年正畸患者心理状况相关因素，并根据结果制订干预对策。方法2012年9月至2015年9月选取我院口腔门诊收治的186例青少年口腔正畸患者，采用中国中学生心理健康量表（MMHI-60）及症状自评量表（SCL-90）对其心理状况进行调查统计。依据心理状况量表评分分为观察组（有心理问题）和对照组（无心理问题），对可能影响因素分别采用单因素描述性分析和多因素Logistic回归分析确定其相关因素，并制订干预对策。结果社会角色、生活地区、单亲、独生子女、内外向性、神经质、给予健康教育、错畸形严重程度等均和口腔门诊青少年正畸患者心理状况紧密相关（χ2=2.534~44.297，P〈0.05或0.01）；独立危险因素按照危险程度由高到低排列为：重度错畸形（OR=3.578，P=0.000）、情绪不稳定（OR=2.934，P=0.000）、务工（OR=1.857，P=0.011）和农村生活（OR=1.632，P=0.014），而性格外向（OR=0.628，P=0.008）和给予健康教育（OR=0.746，P=0.010）均是保护性因素。结论重度错畸形、情绪不稳定、务工和农村生活、性格外向以及给予健康教育等均是影响口腔门诊青少年正畸患者心理状况的相关因素，临床中应当强化心理健康干预，以改善心理状况和依从性。Objective To explore and analyze the risk factors affecting psychological status of adolescent orthodontic patients in stomatology department, and to develop intervention strategies according to the results.Methods A total of 186 cases of adolescent orthodontic patients in stomatology department from September 2012 to September 2015 were selected, and psychological status was investigated by Chinese Middle School Students Mental Health Scale （MMHI-60 scale） and Symptom Self-rating Scale （SCL-90）.The patients were divided into observation group （with psychological problems） and control group （without psychological problems） according to the psychological status scale scores. Univariate descriptive analysis and multivariate Logistic regression analysis were used to determine related factors of the possible influencing factors, and the intervention strategies were developed.Results The factors such as social roles, living area, single parent, only child, internal and external tropism, neuroticism, being given health education, malocclusion severities of the deformities were closely related to psychological status of adolescent orthodontic patients in stomatology department （χ2=2.534-44.297, P〈0.05 or 0.01）. The independent risk factors were classified as high to low according to the degrees of danger： severe malocclusion （OR=3.578, P=0.000）, instability emotional （OR=2.934,P=0.000）, workers （OR=1.857, P=0.011） and rural life （OR=1.632, P=0.014）, while the factors such as outgoing personality （OR=0.628, P=0.008） and being given health education （OR=0.746, P=0.010） were protective factors. Conclusions The factors such as severe malocclusion, instability emotional, workers, rural life, outgoing personality and health education are the related risk factors affecting psychological status of adolescent orthodontic patients in stomatology department, and psychological health intervention should be strengthened in the clinical practice to improve the psychological status and

关 键 词：口腔畸形 青少年 正畸 心理状况 

分 类 号：R473.78[医药卫生—护理学]